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Pennsylvania rates for HCPCS V2626

Reduction Of Ocular Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.05 / $177.73 / $242.93
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.46 / $239.46 / $239.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.88 / $351.88 / $351.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.94 / $114.94 / $114.94
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.41 / $324.23 / $519.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.05 / $199.11 / $262.93
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.88 / $351.88 / $351.88
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.94 / $114.94 / $114.94
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.20 / $171.20 / $227.92
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.20 / $227.92 / $227.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.98 / $119.47 / $199.11